LSU First Wellness
2022 LSU First Wellness Credit
LSU First is committed to helping our members achieve their best health. Routine preventive care, such as a primary care provider (PCP) visit, biometric screening/routine lab work, and other age-appropriate screenings often detect health issues early, when they are easier to treat. Preventive services are covered at 100% with a First Choice or In-Network provider.
LSU First is excited to announce a wellness premium credit for the 2022 Plan Year. Beginning January 1, 2022, LSU First will offer a $25 a month wellness credit for employees and retirees who meet certain requirements. The credit will be applied towards the member’s monthly premium with a potential annual savings of $300!
To qualify for the $25/month premium credit, the following requirements must be met:
- Be enrolled in LSU First for the 2022 Plan Year
- Have a preventive visit with a Primary Care Physician (PCP), including biometric screening, between November 1, 2020 - October 31, 2021
- Enroll and participate in care coordination, if offered as an eligible participant, in the 2022 plan year.
LSU First participants who do not complete these requirements within the designated timeframe will not be eligible for the wellness credit for the 2022 plan year.
LSU First reserves the right to alter requirements of the wellness credit eligibility each plan year. The wellness credit does not apply to the LSU First Medicare Retiree Plan.
To qualify for the $25/month premium credit, employees or retirees must:
- Be enrolled in LSU First for the 2022 Plan Year,
- Have a preventive visit with a Primary Care Physician (PCP), including biometric screening/routine lab work, between November 1, 2020 - October 31, 2021,
- Enroll and participate in care coordination, if identified as an eligible participant, in the 2022 plan year.
The credit is available to employees and retirees for the 2022 Plan Year. Spouses and/or dependents are not eligible for the premium credit, but it is highly encouraged that all covered members receive an annual preventive visit and lab work.
Establishing a relationship with a Primary Care Physician (PCP) is crucial in providing preventive care and identifying and treating common medical conditions. PCPs have expertise in managing multiple treatments, medications, and the interactions between them. They can address the entire person, considering their values, beliefs, and preferences. They can also provide references to specialists, when needed.
- Family Practice
- General Practice
- Internal Medicine/Internist
The Affordable Care Act (ACA) requires that health insurance plans cover certain preventive services, including annual exams, immunizations, and screenings, from an In-Network provider without any cost sharing. This means that the visit is covered at 100% if received through the First Choice, Verity, or Aetna ASA Networks.
See the following websites for more details:
NOTE: The Preventive Care services identified through the above links are recommended services. It is up to your provider to determine which services are best for you.
The $25 monthly wellness credit will be applied towards your monthly LSU First premium during the 2022 Plan Year.
No paperwork or form is necessary. The wellness exam and lab work will be identified through the claim(s) that your provider submits to WebTPA.
To confirm you have met the wellness exam and lab work requirement, please contact WebTPA by phone at 855-346-5781 or email at firstname.lastname@example.org.
The results of your preventive visit and biometric screening are personal and confidential and will not be shared with your employer.
A typical screening usually consists of height, weight, BMI measurements, and blood pressure as well as blood work to test for cholesterol and blood sugar. The lab work may vary by individual based on gender, age, and family history. Note that there may be some out-of-pocket costs if seeking care outside of the First Choice network.
Care Coordination (CC), provided by eQ Health, is a high-touch approach that ensures members receive the care, services and community support leading to improved health. Care Coordination provides access to nurses in your community via phone or face-to-face visit to create personalized care plans to improve your quality of health. Some of the benefits of this program include educating and providing resources about your health condition(s), assisting in navigating the healthcare system and your LSU First coverage, empowering members to achieve long-term behavior modification.
Care Coordination services encompass, but are not all inclusive to, the following
- Catastrophic case management
- Care transitions
- Chronic kidney disease
- Heart failure
- Substance use
eQ Health will reach out directly to those who are deemed an eligible participant via phone and mail. Please verify that your Human Resource Management office and WebTPA have your correct contact information.